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医改新政满月药费省四亿多 市卫计委:效果符合预期

2017-05-08 17:52:46   北京晨报

患者体会

慢病患者药费降几十元

孔先生今年81岁,家住德外街道,他患有心脏病、高血压,2000年心梗第一次安装了两个心脏支架,随后的十几年间,又先后做了4个支架。由于患有慢性病,他长年都需要开药,每一个月就要跑一次北大医院。

孔先生属于本市医保,他向北京晨报记者展示了他最近一次5月初在医院的缴费单据。他一次性开了包括波立维、立普妥、安博维片、补达秀缓释片、拜阿司匹灵肠溶片、万爽力片等在内的10种药,共计药费1261.57元。再加上近200元的检查费,他个人负担208.94元,而在医改以前,同样的这些药,每次个人支付都要249元左右。

长年开药考虑转投社区

在北大医院,记者遇到了前来为父亲开药的吴女士。吴女士家住城南,前一段,父亲住院,做了颈动脉支架。同时又有高血压、糖尿病和前列腺疾病。然而,老人出院后带药只能带一周的药量,这让她觉得有些不方便。“这些药如果能在社区开,我就可以不来这儿了”。由于父亲年纪大了,身体不好行动不方便,每次开药只能由吴女士来完成。“但是医生也说不好社区有没有全部我需要的药,得再去社区去咨询”。另外,吴女士本人也患有肿瘤,需要每隔几个月就复查B超、CT,这类检查费用降低也给她带来了真正的实惠。

吴女士说她非常关注医改最新动态,因为刚刚改革一个月,她还没有机会去社区尝试开这些药。“让我父亲吃完这一个月的药之后,我就打算回到社区去尝试。现在在三甲医院开药多了几十元钱的医事服务费,再加上交通费和时间成本,算下来,还不如在社区方便。像我们六十岁以上的老人,社区医事服务费减免,离家近还方便。”吴女士说。

不过,吴女士也表示,如果不是为了开药,而是一旦有疾病确实需要诊断的时候,她还是会首选大医院并且会选择正主任级别以上的专家号,而不会在乎贵的那几十元钱医事服务费。

院方反映

宣武医院:药价降15%

在采访中,宣武医院副院长吴英锋告诉记者,医改一个月,宣武医院普通号挂号人次下降了15%;专家号包括副主任医师、正主任医师和知名专家挂号人次与医改前基本持平;而药占比则下降了10%。此次医药分开综合改革取消药品加成和挂号费、诊疗费,设立医事服务费,实施药品阳光采购,降低药品采购价,以及部分检查项目费用,让患者更多受益,也让医生劳动价值得以体现。为了提升服务方便患者就医,宣武医院目前已经实现了全时段抽血,未来还将增加3个抽血窗口,使抽血窗口增至9个。

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